Post-Circumcision Sensitivity and Treatment Options

Please ask about the issue regarding the foreskin?

I have a long-standing issue that has been troubling me: I previously underwent a circumcision at a hospital due to a tight foreskin.
The doctor removed a significant portion of the foreskin, leaving the entire glans exposed.
While I can easily achieve an erection when touched through my pants, direct contact with the area around the glans, known as the "external rim," causes numbness that leads to loss of erection, making it difficult to ejaculate.
I have to ask my girlfriend to hold my penis without touching that "external rim" area.

The doctor mentioned that it would be better to preserve the foreskin connecting the shaft to the glans.
However, when there is semen present, the foreskin and the exposed shaft (which is the inner layer that was previously protected by the foreskin) become wet and rub against each other, causing discomfort that affects my erection and ejaculation.
This has been quite distressing for me.
I have considered undergoing a less painful laser procedure to remove that part.
I would like to ask the doctor if it is okay to remove that portion of the foreskin around the glans.
Can a less invasive laser procedure achieve this? I am willing to spend money to resolve this long-standing issue.
I have consulted a couple of doctors and have taken some medications, but the results have been limited.
Do you know the possible causes or treatments for this condition? I have even considered showing the doctors my condition in person to explain clearly, but they seemed reluctant to help.
Due to this experience, I am hesitant to seek further medical advice.
I have taken some photos with a digital camera, and if the doctor is open to it, I can provide a link to those images.
I hope the doctor can guide me toward a solution!
Best regards,
Xiao Yu ([email protected])
(I live in the Eastern District of Taipei)

Xiao Yu, 20~29 year old female. Ask Date: 2008/08/21

Dr. Liu Jianting reply Urology

Sometimes it's better to stay still.
The current situation is normal in terms of usage, and with time, it will surely improve and function well.
Don't worry!

Reply Date: 2008/08/21

More Info

Post-circumcision sensitivity and discomfort can be a challenging issue for many individuals. It appears that you are experiencing heightened sensitivity in the area around the glans (the head of the penis) following your circumcision, which is affecting your sexual experiences. This is not uncommon, as the glans can become more sensitive after circumcision due to the exposure that was previously covered by the foreskin.

Understanding the Sensitivity
1. Heightened Sensitivity: After circumcision, the glans is exposed to friction and stimuli that it was not accustomed to, leading to increased sensitivity. This can result in discomfort during direct stimulation, as you described with the "outer rim" area.

2. Psychological Factors: Sometimes, anxiety or psychological factors can also contribute to sexual performance issues. The fear of discomfort or the anticipation of pain can lead to difficulties in achieving or maintaining an erection.

3. Physical Factors: The friction between the exposed glans and the surrounding skin can lead to irritation, especially if there is moisture involved, as you mentioned with the presence of semen. This can create a cycle of discomfort that may affect sexual function.

Treatment Options
1. Desensitization Techniques: Some individuals find that gradually desensitizing the area can help. This can be done through gentle, consistent stimulation over time to help the glans adjust to touch.
2. Topical Treatments: There are desensitizing creams available that can be applied to the glans to reduce sensitivity. However, it's essential to consult with a healthcare provider before using any topical treatment to ensure it is safe and appropriate for your situation.

3. Surgical Options: If the sensitivity is significantly impacting your quality of life, you may consider discussing surgical options with a urologist. The idea of using laser treatment to remove the sensitive area around the glans is something that some practitioners may offer. However, this should be approached with caution, and it is crucial to have a thorough discussion with a qualified urologist about the potential risks and benefits.

4. Physical Therapy: Some individuals benefit from pelvic floor physical therapy, which can help address sensitivity issues and improve overall sexual function. A trained therapist can provide exercises and techniques tailored to your needs.

5. Counseling: If psychological factors are contributing to your discomfort, speaking with a therapist who specializes in sexual health may be beneficial. They can help address any anxiety or concerns you may have regarding sexual performance.

Consultation with a Specialist
It is understandable that previous experiences with doctors may have left you feeling hesitant. However, finding a urologist who specializes in sexual health and is open to discussing your concerns in detail is crucial. It may be helpful to prepare for your appointment by documenting your symptoms, any treatments you have tried, and specific questions you have.

Conclusion
Your situation is complex, and it is essential to approach it with a comprehensive plan that includes both physical and psychological considerations. While it may take time to find the right solution, there are various avenues to explore that can help alleviate your discomfort and improve your sexual experiences. Don't hesitate to seek out a specialist who can provide the care and attention you deserve.

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